1988-824 f ..1
j +
•
CERTIFICATE OF OCCUPANCY •
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 18 19 8 9
3 0
This is to certifythat work requested tube done as shown byPermit No. 88-824
q
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has been completed.
This structure may be occupied as a 4 of Duplex
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Locationueen Mary Drive
Owner Guyer Builder -
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By Order Town Board
TOWN OF QUEENSBURY •
Building & Zoning Inspector
A BUILDING PERMIT
- TOWN OF QUEENSBURY
No. 88-824 ' z
WARREN COUNTY, NEW YORK o
I-
N.)
PERMISSION is hereby granted to Queen Victoria's Grant — Guyer Builders 1
I
OWNER of property located at 6 Queen Mary DRive Street,Road or Ave. iv
in the Town of Queensbury,To Construct or place a ; OF DUPLEX
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
119 Dunning STreet
Ballston Spa, New York 12020 m
2. CONTRACTOR or BUILDER'S Name H
C]
H
SAME 0
7d
H
3. CONTRACTOR or BUILDER'S Address to
0
z
H
4. ARCHITECT'S Name
5. ARCHITECT'S Address
oh
t=i
t-n
6. TYPE of Construction— (Please indicate by X) Z
5-
X(X3�Wood Frame ( ) Masonry ( ) Steel ( ) 7d
U
7. PLANS and Specifications
C
No. 42' x 26' I of duplex, as per plot plan, specifications, and
application, including septic.
8. Proposed Use
z of Duplex
25.00 0
$ 114.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1989 rh
tf
(If a longerperiod is required an application for an extension must be made to the Buildingand Zoninginspector q pp of the b
town of Queensbury before the expiration date.) t-'
7
Dated at the Town of Queensbury 21st Day of October 19 88
.vn of Queensbury
SIGNED BY C/�, for the To.
Building and Zoning(n'pector .
.v vE1 cuMrl+&,L m bi 6..414.2. u8F a. :14
'„.: Application No.
✓own of Queeniiury Permit Issued 19 TOWN OF C?UE .
BUILDING and ZONING DEPARTMENT • Permit Expires - 19 p -- CI �'sui;,e''
Bay and Haviland Road, R.D. 1 Box 98 . Zoning Designation . v L, 'i`/ i r. :r
Queensbury, New.York 12801 Variance No.
Site Plan Review No, T 1 C. :19
Approved BUILQl�G gr CODS p,EPT u.
APPLICATION FOR
' BUILDING AND ZONING PERMIT '
* * * * *. * * * * * * * * * * * * * * * * * * * * * * *, * * *. * * * * * * *,;* .
' A PERMIT MUST BE OBTAINED BEFORE .BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to- do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
. special conditions as may be indicated on the Permit. .
The owner of this property is: Guyer Builders, Inc.
P.O. Address 119 Dunning Street Ballston Spa, New York 12020 • Tel.. (518) 899-9161.
Property Location: Cry Q0-02,0 AAA )n_ .+-Q__ Tax Map No.47/ / iJ/ Z
Street number or building lot number
Subdivision name (if applicable) Queen Victoria's Grant
THE PERSON RESPONSIBLE.FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: .
Richard H. Guyer III (518) 899-9161
Name P.O. Address Tel. No.
Name of builder Guyer Builders, Inc.Address 119 Dunning Street Tel. (518) 899-9161
Name of plumber Guyer Builders, lnc.Address . 119 Dunning Street - Tel. (518) 899-916i
,Name of mason Guyer Builders, inc.pddress 119' Dunning Street, . Tel. (518) 899-9161
NATURE OF PROPOSED WORK: * ZONING INFORMATION: . .
X Construction of a new building. * A.PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building - * drawn reasonably to scale and attached hereto,
Alteration to a building • * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing _or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot' number. and indicate
'FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED.• * of water supply and location and configuration
of septic .disposal area.
• * • •
* COMPLETE INFORMATION REQUIRED BELOW.
100+ p pl d
*`-Size;;of. o ert seei ft x 120 ft.
*p.Exist�ingr�building(s) Size N/A ft X N/A ft.
Model (.•� ' *. ..: ::.:_.-1.'. .; . .. _
PROPOSED BUILDING AND USE: of �j *
�"' Existing building(s) Use N/A
Size of new structure I/ c ftA] Oft * . ' •' . ' ' ' . ' ' ' ' ' ' ' ' ' -
Foundation-pier(l4Ycrawl/partial/full. * Proposed building, distance frail property line
circle one) see plot plan
* Front yard 30+ ft Rear yard 30+ ft.
No. of stories (habitable space) * Side yards ' 15+ ft and 15+ ft
Height (grade to ridge) /?- (, ft. If on corner, setback from side street 30+ ft
*
If residential, no. of families l' of 2 .
No. of rooms(excluding baths) `- * OCCUPANCY INFORMATION .
No. of bedrooms / *
P:�z u. * PRIMARY BUILDING -
athrooms / •
One family dwelling This t },e forj'
Primary heating system Baseboard electric* Two family dwellingone side of butdi.ng..
'iype of ruel Electricity * y -S.
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? No * Permanent occupancy
Central Air conditioning? No * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial .
Ranch Contemporary Lc.. cabin * Other
If addition, what will be?use
Raised ranch Mansion Duple *
' Split level Old style Bungalow * .
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House ' * ' -Detached garage/one car/ two car/ . car ..
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * _* * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION. $ 5S !i� *
INFORMATION ON .BUILDING SPECIFICATIONS, ON .REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .
Form BPA 4/86 and-vl '
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BUILDING PERMIT APPLICATION CONTINUED - .
BUILDING SPECIFICATIONS: :
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• Type of construction, wood frame, fire safe,etc. wood frame
Will any second-hand or ungraded lumber be -.used? If so, for what? no
Foundation wall material concrete block Thickness 8"
Depth of foundation below grade (to bottom of footing) 48'.' minimum
' Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft ..
Will there be a basement? no Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped flat/shed/other Material.•of roof Fiberglass shingles
Size, wood studs "X 6 " spacing 24 "o.c. length 8 ft. exterior walls
Joists(floor beams) 1st. floor N/A-"X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor —2—"X1 spacing D6 "o.c. span ft.
Overlays(ceiling beams) "X " spacing '24 "o.c. span ft. i2.t_ S jL
Roof rafters "X " spacing 24 o.c. span ft.
•
Roof trusses(pre-engineered) spacing 24 "o.c. span ft. •
Exterior wall finish stained Of what material? 5/8" x 4' x 8' texture 111
Interior wall finish paint 1/2" sheetrock
If a garage is to be attached. describe materials to be used for FIRE SEPARATION:/
Is there to be an opening between garage}and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? No Height above roof N/A ft.
Depth of chimney foundation below grade N/A ft.• .
Depth of fireplace hearth N/A ft. in.
Water supply - Municipal or private well . municipal
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties N/A ft.
(A separate application is necessary for any repair or new installation of septic system)
See S.P.E.D.S. permit # 0202525 •
Town of Queensbury A F F I D A V I T STATE OF NEW PORK
County of Warren •
I swear that to the best of my knowledge and belief the statements contained., .
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done !on the described premises and that all
_
provisions of the BUILDINGCODE, . THE, ;ZONING ORDINANCE, and all other laws pertaining to •
the proposed work shall, be, complied with, whether ='specified o.r not, and that such work is
authorized by the 'owner.
•
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g _ emu / � i`` ° . . .
SWORN TO BEFORE ME THIS Signature
Owner, owner's agent,arcnitect,contractor
it/ day of d //,A_ 19 82
ADRlENNE J.FINDER
Notary PuWle,State of New York
Qualified In 3arat a County 5
CAE Square feet livir •
. ' X/SL Square foot garage - one stall
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- l $7.UO/lQU`1Or part of •
'2//a One st. 11
bara6e 4
C/O permit
Total
• By
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' TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK '
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Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE .
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A permit must- be obtained before beginning work.
ANSWER ALL of the following: .
X. Gross floor area t2 � Llk'
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2., Type of heat Baseboard electric
3. Is the building mechanically cooled? No
. 4. Percentage of area of windows and doors -7,ij•
A. Over 16% Only
1. Uo value of gross area of walls, roof/ceiling and floors
•
exposed to ambient conditions
2. Floor over heated spaces . YES N0, •
40 a. Are foundation walls insulated? NO
1. If YES, what is the R value? 4,
3. Slab on grade a:)' NO
a. If YES,. what is the R value of insulation around .
perimeter of floor? (2.- -1,}j
4. Is basement heated? YES NO •
a. R value of insulation /VA
5. Type of insulation \C711.0 S'-`t.0110e
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
R-38
• 2. R value of exterior walls R-20
• 3. R value of glazed area --//EaS
4. R value of doors R-14.9
•
• 5. R value of floors over unheated spaces R-19
6. R value of slab edge insulation - unheated slab N/A
7. R value of slab insulation - heated slab 12.5
8. R value of heated basement/cellar walls (above grade) N/A
•
9. R value. of heated basement/cellar walls -(below grade) N/A •
10. Type of insulation Fiberglass
C. Controls '
1. Thermostat maximum heat setting NA
•
. D. Duct Systems N/A
1. Is duct system installed in unheated spaces? YES GE)
a. If YES, R value of duct installation
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b. R value of duct in other areas
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• E. Piping Insulation N/A
1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation •
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F. . Service Water Heating .
•
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1. Performance efficiency N/A
• 2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum- heating N/A
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Telephone No.
(518) 899-9161
(applicant '`s ignature)
„ 01;11111. Of await/
APPLICATION FOR SEPTIC DISPOSAL PERMIT
• Ref: S.P.E.D.S. .. ..
DATE
10-20-87 / permit #
New York - 0202525'
MODEL 4 of Ise C. q
LOCATION OF PROPERTY FOR INSTALLATION 6 Queen Mary nrive
Owner's Name: Guyer Builders, Inc. ..• Telephone: (518) 899-9161
Address: 119 Dunning Street, Ballston Spa, New York 12020
Guyer Builders, Inc
Installer's Name: Y Telephone: (518) 899-9161
2 A, C, E, I, J, K, L, M
Number of bedrooms (residential only) 2 _ 3 F, G, H
.) Total daily flow (compute-@. 150 gal per bedroom) 300
Topography: circle one: cao Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8' feet +
Ground Water: At what depth? unknown 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet .
Percolation test: circle one: not requir) required / rate min. inch.
Domestic water supply: circle one: ICALmicip-a-.1)Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ N/A feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench N/A • feet/ Total system length N/A feet
* SEEPAGE PIT(S): Number of ?' / Size each feet by feet'
* Size of stone to be used # • / Depth or Thickness feet S
* * * s * * * * * * * * * * * * * * * * * * * * * * * * * *,* * * * * * * * * * *
IMPORTANT * See S.P.E.D.S.
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
* *'* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * map.
See�C (� ► oLif�
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as .
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed,location of the system
2.) location and distance to lot lines .
•
3.) location and distance to stru5tures
4.) location and distance to any:.grater supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building.:.
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must:be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements .
of the Town of Queensbury Sanitary Sewage isposal Ordinance.
•
Signature of.responsible person:
Date; . /11-
Town of Queensbury
Building and Code Department
Bay at Haviland Road .
Queensbury, New York 12801
•(518)'792-5832
•
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FTT1 Fn 170.1 HOOF (IF NATURAL, REA)TY . . . A G0QD.PI,Ac TO
StLLC r HUSINtSS 1-UIiMS (bU`J) e4e-0L1.1J ' •
APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
(---'-` •,,, MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
t) National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date: As-p...A
] •
h` , Town or l Qneensbury County Warren State NY
Location/Address 6 Queen Mary Drive
(If Located in Rural Area - Please Attach Directions) Pole #
Owner GUYER BUILDERS, INC. Permit #
Occupied As Building: Newirl Old❑
Occupant
Work Area in Building (Floor #, etc.):
App. for: Wiring El Service El or: Ready for Inspection:
Fee Remitted-$ Cash n Check n M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 200012250 2500 2750 3000 1
Number of Rough Wiring Outlets . Elect. Heat -
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71h 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's •
Signature License # Permit #
T/A GUYER BUILDERS, INC. utility. ' I'
Applicant's Address: 119 Dunning Street • (NAME (OFFICE LOCATION)
(City) 'Ballston Spa (State) NY (Zip) 12020 _ Service Request #
Phone # 899-9161 Electrician: GUYER BUILDERS, INC.
MDIA USE ONLY DATE RECEIVED: • DATE INSPECTED: ' •
Correct Location: Same as Above or: •
Red Notice Label n
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp, Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/a W 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Elect. Heat 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
CERTIFICATIONS - USE FOR INITIAL VISIT ONLY.. NOTIFIED DATE .., CORRECTFEE FEE PAID
El RW • Progress: Inc.El LKD El - Contractor
❑ CFT Violation: Work Comp.❑ Inc. El
piL/A Owner CASH: El
❑ L/A Fee CHK #
Due MO #
❑ IPA . . . • _ ... Municipal
• ' INV #
Applicant CIDate: Other Side❑ . Utility ❑
Owner
Cut in Card ❑ Temp # Date
INSPI;(`,TQRS S IfS IQ NATVR[
. 1 7\JM Jill vJ km \aJ• \ .\,,— 1 /Thh.. / \ / \ /1 t.,/1VJ,\‘ JMv/ \ e \ /1 \'f
( MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 5��� a`f
"`� fJ
900 Haddon AYenue Go(Iingswood N J 08108 •
•
';, ,;,,,1:1\
', E. ' _ :::il ..,�""�,, Dat,: January 15, 1989 c
C �tCerttf tez that the e_pctrical egGpment listed has been-examin d and is approved as being in accord C)
( with the National Electrical'�Code applicable governmental, utility an Agency rules.
(; Owner: Guyer Builders iinc 1 /J r - , r„ O•ccupancy •{-Dwelling C
� Occupant Single Family/ iu t i� �� ' ,�,,-, x
Location: 6 Queen Mary.Drives, •Queensbury (Warren �Co) htaicert)ficate covers the=elec�ncal equipment and installation inspected this
date. If additional equipmentishoytd be introduced or alterations made to
ram' existing system this certificate sha be null and void. and application for
;1 ,m inspection should be sutimrtted promptly to this Agency. '
Equipment: 54 Outlets; 30`Receptacles; 1,2 @Fixtures; Holder of this certificate should present same to his property insurance carrier C
C, 150 Amp Service,; Appliances 11" 'e'l' '�.�„�' p equipment approved
(agent or compar{y)as evidence at of electrical
as ecified.,/ / ,,,, C
C 4,4,,
!�% r� _
I
(P ,Guyer Builders I _ 7ca � "
" Applicant:. ,119 :Punning StreetY .,��� a No 15 028395 _
Spa • 12020
n,.a l.7 1�O1d'!ate r• 40 `W./1 aik Ara a Ck. Cak WWI.°
Vnnw/M,7n FI 1Al
• , ; •
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Electrical-Building-PIUMbibg-Fire Inspectioris
•
Date
T.-
ector
T - constitutes certification that the -- -
above installation, but not the equip- _
ment itself, has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
be submitted promptly to this Agency.
• -• •
• -- _
, %,1\
awn of Qucen3ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 pirl\
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME \A_A;,_,� 9.-�
LOCATION 6) �,LA y g mM / ,l
DATE )Q)&\ / R-Cd PERMIT NO. '`6 -S- 9
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES .- NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS4Nuinber of) •
Size- ft. X \'\ ft.
Gravel size
PIPING: ''\ Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pkt
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank \ ft.
Foundation to absorption \ ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSSTEM ON PROPERTY(circle one)
Front - Rear - rLeft. side - Right side -
COMMENTS:
500.01--e,
---- /
SYSTEM USE APPROVED YES NO
•
•
Building. Inspector
•
01/86 and vl
own of Queen bury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 9 ti
LOCATION cic M-A
DATE 4) / eo PERMIT NO. �Ssr--� 1(
SOIL TYPE - MID - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: •
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel_
SEEPAGE1PITSfNuinber of) _� .
Size- cp ft. X � ft.
Gravel size '3
PIPING: Size T pe
Bldg. to tank Y-(i
Tank to' dist. box /
Dist. box to field/pit i/ //
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
•
Foundation to tank ft.
Foundation to absorpt'
• Absorption to lot lin ft.
Separation of pits'
LOCATION OF SYSTEM OPERTY(circle one)
Front - Rear eft side - Right side •
-
COMMEN
60 SlcP4Ctw fz
LO. Cal-ecPCtrs r7i Gz%e
•
Gin cy£ •
- ycg /O /4 c'A D'2
S YSTEM USE APPROVED 4 NO •
Build g Inspector
•
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801 /47
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPE TION RECEIVED //4-�5-
NAME -- �
LOCATION 4 ? G�eP/ir� /"'_92y
DATE PERMIT # (W- 7%,?4,
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELE2TRICAL ROUGH-IN
L SULATION:
FOUNDATION •
FLOORS
WALLS
CEILING 1/-
FINAL INSPECTION:
CHIMNEY HEIGHT '
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE% &`+RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS •
FINISHED FLOORS
GARAGE FIREPROOFING \
DOOR CLOSER''(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION '1;
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
6,t-/AS
INSP-CTOR
Joevn 01 Qur y
BUILDING and ZONING DEPARTMENT
Bay,and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME !?v�/•e,
LOCATION a 11Pcf / !/A.
DATE /' ,S / r' PERMIT NO. O U- 011
SOIL TYPE - Sand. - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch :'
TYPE of SYSTEM: /
Absorption field, total,/length
Length of each trench / /
Depth of trenches ' /?4 �67,
Size of gravel r
\ ;r
SEEPAGE PITS*Numberbf)
Size- ft. X \ ft.
Gravel size . 7
PIPING: /\ Size Type
1
Bldg. to tank / ,t `-1 �✓ ,/ 77fL
Tank to dist. box \
Dist. box to field/pit _
Openings sealed? YES (_ NO I3 Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation '�to absorption ft.
Absorption to lot line f ft.
Separation
((( of pits ti ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - /ear - Left side `s Right side -
COMMENTS
%2✓�CcJ /i' 1' erki / `.�r-
i� J
\l4
A
��, /lam, //l/ T _/Ct*4. //
. . . f•VII: •
ii . '6J1-) 1P-)
SYSTEM USE APPROVED YES NO
Bu ng nsp il8"i�" -2 ector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION
RECEIVED /�--
NAME ,Il�C1
LOCATION bj 6?-{Af_iy-A-
DATE 7,i7- PERMIT # `J
'� f C/
\ APPROVED
YES NO
FOOTING/PIERS \
MONOLITHIC POU1FORMS
FOUNDATION/DAMP PROOFING
BACKFILL APPROVA\L
LROUGH PLUMBING \ 1 1
i,/F4RAMING \
ELECTRICAL ROUGH-`N I
INSULATION:
FOUNDATION % I
FLOORS
WALLS r
CEILING \
FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING \
SIDING \
EXTERNAL PORCHES/SfEPS \
STAIRS-CLEARANCE . RAILS \
PLUMBING FIXTURE./RELIEF VALVE
INTERIOR TRIM/P•IVACY DOORS\,
FINISHED FLOG'
GARAGE FIREP ••FING
DOOR CLOSER S) _
SMOKE DETE TORS
FINAL ELEC ICAL INSPECTION
FINAL AP ROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
1 iti\)
I PECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /1,//- ---)
BAY & HAVILAND ROADS 471
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RECEIVED //I"
NAME - _ � `CJ
LOCATION ��j/
DATE /(-a PERMIT # Pr?i
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
VRbUGH PLUMBING 41/2a / V
FRAMING
ELECTRICAL RO'GH-IN L
I/INSULATION:
!/FOUNDATION / v/
FLOORS l
WALLS
CEILING
FINAL INSPECTION: l
CHIMNEY HEIGHT /
ROOFING
SIDING
EXTERNAL PORCHES/STEPS/
STAIRS-CLEARANCE &\RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVA, DOORS
FINISHED FLOORS \
GARAGE FIREPROOFI!SG \
DOOR CLOSER(S)
SMOKE DETECTORS/ \
FINAL ELECTRICAL/INSPECTION
FINAL APPROVAL OF CONSTRUCT ON
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMI/ES ARE OCCUPIED!
REMARKS:
!Ail
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT "7/27
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO SPECTION RECEIVED ,42 - 7 7
NAME CC
/
LOCATION -ff 6;!.L1-Ze t� 7 cYi
DATE /Q -<� _. PERMIT 1)# 4 jf��
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING ;•'�
BACKFILL APPROVAL j
ROUGH PLUMBING
FRAMING ,Y-
ELECTRICAL ROUG IN
INSULATION: 5Y
FOUNDATION ,�>"�� 1
FLOORS (
WALLS k I
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT F
ROOFING if
SIDING 4'
EXTERNAL PORCHESfSTEPS
STAIRS-CLEARANC & RA1 LS
PLUMBING FIXTUpS/REL iF VALVE
INTERIOR TRIM/f?RIVACY DOORS
FINISHED FLOG S %
GARAGE FIREP OOFING `i.
DOOR CLOSER( )
SMOKE DETEC ORS '
ati
FINAL ELECTRI AL INSPECTION %
FINAL APPROVA OF CONSTRUCTION,
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
I.
fiil
) '-'_ f,
______L()
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES. /I OR INSPE, ION RECEIVED
NAME 1_ . ,I , 1j
LOCATION
u raz.� ,
4 �-�
DATE /2 - '/ PERMIT # c-"- " .- 2 O
C� APR Vg
YES NO
NO
TING/PIERS v
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING ;"
BACKFILL AP ROVAL
ROUGH PLUMBI
FRAMING _
ELECTRICAL ROUG N
INSULATION: $
FOUNDATION 1
FLOORS
WALLS \ /
CEILING
FINAL INSPECTION: '\
CHIMNEY HEIGHT
ROOFING
SIDING !
EXTERNAL PORCHES/ ,TEPS
STAIRS-CLEARANCE f�& RAILS \
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS ‘
GARAGE FIREPRpOFING F
DOOR CLOSER($) I
SMOKE DETECTORS I
FINAL ELECTRICAL INSPECTION
FINAL APPROV 'L OF CONSTRUCTION
A SIGNED CF1RTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
V-4A-1 :
INSP TOR
Jown of Queeniar,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801.
•
BUILDING INSPECTOR' S . REPORT
NAME 6Thu-f&L-
LOCATION 6 _ %6..„, lU p pcz__
Date iii7 / ' �l ermit No. ,f/ (f2'
`
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - .YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill •
Framing � ;-
foofing
ding �/
Masonry Veneer
Rough Plumbing �• R ,!�
elief Valves \ li
`�xt. Porches \ v
• nished Floors\,
• Interior Trim 1 //
ktairs & Railings
`Cellar Drain Tile,, / •
C ncrete Floors \,
e-Plbg. Fixtures `i e
g V a /`
lop loci_ Cl,Sers A 1 •
4 Smoke Detectors / \
Chimney / \
INSULATION: / \
Foundation
Floors / 1, '
Walls I \ •
•
ling / �
FINAL ELECTRfCAL INSPECtION (/
DRT3IFW4Y APPJ 0 AL 1
F nal Building urvey
Next scheduled inspectiont(call when ready)
Remarks- /00
1
4
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ri�-" 0 T%/
,. kiII I
. f
0...1/•-.4)- .
•
Buildin Insp ctor
6/86 and-vl
8'-0 DIAMETER
/—C O.T G• 9`0 DEPTH
�f
(;rLEANOU T
TO GRAGE)
-70e- 13 Tm-•---•..
I
LOT zn 1
LOT
!� �! 10 LO
f
QUEEN %,`ICTORIA"S' GRANT
allEENSBURY , N.Y.
REFERENCE DRAWINGS
5 SITE UTILITIES
SEPTIC 4 WATER
VanDUSEN 4 STEVES
SURVEY PLAN
214,6,8,10112
QUEEN MARY DRIVE
PLOT PLAN SEPTIC SYSTEM
_GUYER BUILDERS INC QV-33
DWN- GdQ 4- 2)-26 1 Scale: 1 20' C